Individual provider Active NPI

Lenka Vyroubalova Cech, CNM

  • Advanced Practice Midwife
  • Aberdeen, WA
National Provider Identifier
1407398647
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP61151481 Issued in WA
Practice address
2109 Sumner Ave
Aberdeen, WA 98520-3600
Phone
(360) 532-8631
NPI assigned
Nov 4, 2016
Last updated
Jun 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.1617235 CO
Advanced Practice Midwife 367A00000X APN.0992342-CNM CO
Advanced Practice Midwife 367A00000X AP61151481 WA Primary

Addresses

Primary practice location

2109 Sumner Ave
Aberdeen, WA 98520-3600

Mailing address

2255 S Oneida St
Denver, CO 80224-2522
Phone (303) 360-6276

Other practice location 1

236 Agate Ave
Granby, CO 80446
Phone (970) 887-2454

Other practice location 2

3292 Peoria St
Aurora, CO 80010-1517
Phone (303) 360-6276

Other names 1

  • Lenka Vyroubalova Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200228001778 CO Order and Referring Only - Certified Nurse Midwife (CNM) 8820425044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN.1617235COMDRegistered Nurse
APN.0992342-CNMCOMDAdvanced Practice Midwife
AP61151481WAMDAdvanced Practice Midwife

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1407398647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 S ONEIDA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802242522",
            "telephone_number": "303-360-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 SUMNER AVE",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985203600",
            "telephone_number": "360-532-8631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "236 Agate Ave",
            "address_purpose": "LOCATION",
            "city": "Granby",
            "state": "CO",
            "postal_code": "80446",
            "country_code": "US",
            "telephone_number": "970-887-2454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3292 Peoria St",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800101517",
            "country_code": "US",
            "telephone_number": "303-360-6276",
            "fax_number": "303-343-0664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CECH",
        "first_name": "LENKA",
        "middle_name": "VYROUBALOVA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-04",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.1617235",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "APN.0992342-CNM",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP61151481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LENKA",
            "last_name": "VYROUBALOVA",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aberdeen, WA

Sources for this page

Verify at the official NPI Registry.